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Organization

UNIVERSITY OF WISCONSIN SYSTEM NON PAYROLL

Active
Other names
UW-Stevens Point Health Service Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GERHARD W HETTLER III M.D. (DIRECTOR)
(715) 346-4646
Entity
Organization

Contact information

Practice address
910 FREMONT ST, STEVENS POINT, WI 54481-3105
(715) 346-4646
(715) 346-4752
Mailing address
910 FREMONT ST, STEVENS POINT, WI 54481-3105
(715) 346-4646
(715) 346-4752

Taxonomy

Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
1006-042
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
33278000
WI
Enumeration date
09/07/2007
Last updated
12/04/2024
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